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Flies without Borders: Lessons from Chennai on Improving India’s Municipal Public Health Services

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  • Monica Das Gupta
  • Rajib Dasgupta
  • P. Kugananthan
  • Vijayendra Rao
  • T. V. Somanathan
  • K. N. Tewari

Abstract

India’s cities face key challenges to improving public health outcomes. First, unequally distributed public resources create insanitary conditions, especially in slums – threatening everyone’s health, as suggested by poor child growth even amongst the wealthiest. Second, devolving services to elected bodies works poorly for highly technical services like public health. Third, services are highly fragmented. This paper examines the differences in the organisation and management of municipal services in Chennai and Delhi, two cities with sharply contrasting health indicators. Chennai mitigates these challenges by retaining professional management of service delivery and actively serving vulnerable populations − while services in Delhi are quite constrained. Management and institutional issues have received inadequate attention in the public health literature on developing countries, and the policy lessons from Chennai have wide relevance.

Suggested Citation

  • Monica Das Gupta & Rajib Dasgupta & P. Kugananthan & Vijayendra Rao & T. V. Somanathan & K. N. Tewari, 2020. "Flies without Borders: Lessons from Chennai on Improving India’s Municipal Public Health Services," Journal of Development Studies, Taylor & Francis Journals, vol. 56(5), pages 907-928, May.
  • Handle: RePEc:taf:jdevst:v:56:y:2020:i:5:p:907-928
    DOI: 10.1080/00220388.2019.1605053
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    Cited by:

    1. Ziming Zhou & Yumeng Jiang & Haitao Wu & Fan Jiang & Zhiming Yu, 2022. "The Age of Mobility: Can Equalization of Public Health Services Alleviate the Poverty of Migrant Workers?," IJERPH, MDPI, vol. 19(20), pages 1-18, October.

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